Minimally invasive surgery for endometrial cancer

Alex Rabinovich

Research output: Contribution to journalReview articlepeer-review

21 Scopus citations

Abstract

Purpose of review: To critically appraise the pertinent literature on traditional laparoscopy and robotically assisted laparoscopy for the treatment of endometrial cancer. Recent findings: Multiple retrospective and prospective studies on traditional laparoscopy and retrospective studies on robotically assisted laparoscopy for the treatment of uterine cancers have shown reduced blood loss, shorter length of hospital stay and decreased incidence and severity of postoperative surgical complications compared with laparotomy. Minimally invasive techniques maintain equivalent oncologic results with regard to the number of dissected lymph nodes and overall and disease-free survival rates. Compared with traditional laparoscopy, robotic surgery has a lower rate of conversion to laparotomy, lower blood loss and presents significant ergonomic advantages for the surgeon facilitating execution of complex oncologic procedures. Minimally invasive techniques are particularly advantageous in obese patients, reducing perioperative and postoperative abdominal wound complications. Summary: A thorough review of the literature indicates that minimally invasive approach has a number of established advantages over laparotomy that makes it the surgical treatment option of choice in endometrial carcinoma patients.

Original languageEnglish
Pages (from-to)302-307
Number of pages6
JournalCurrent Opinion in Obstetrics and Gynecology
Volume27
Issue number4
DOIs
StatePublished - 1 Aug 2015
Externally publishedYes

Keywords

  • Endometrial carcinoma
  • Laparoscopy
  • Minimally invasive surgery
  • Robotically assisted laparoscopy

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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